Laserfiche WebLink
;��� I��cRMIT APPLICATi�JN <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADORESS 758291 <br /> PARCEL TAX I.p,# PERMIT# <br /> �iS l3 BLACK FOREST LN, EVERE CT,Wp 98203 29053100305200 <br /> IEGAL LOT NO. BLOCK M�zrr q- r�a� <br /> TRACT <br /> OWNER ADDRESS <br /> MORRJSO\,JOHN 48�3 BLACK FOREST LN PHONE <br /> • EVERE7"f, Wp 9g203 (425)259-2398 <br /> TENANTNAME CONTACTNAME <br /> PAMELA HILL PHONE <br /> CONTRACTOR 425 SI4-3124x133 <br /> ADDRESS CONTR.LICENSE# <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE <br /> KIRKLAND,WA 98034 FASTWHC052DF <br /> (42i)814-3124 02/16/2003 <br /> PROPOSED USE OF BUILDING Bulidinp M�ehamca <br /> PERMIT Combinalbn Plumbin WORK �diGon H 7 30URCE <br /> TYPE D�mc66on a Nuwtlon Nctric <br /> Slyn Tl'PE N�, <br /> � aa <br /> CONTRAC7 PRICE OF WORK �qqq,pp � +�qMaint ef <br /> CITY OF EVERETT LOC,qL SALEg TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Remove/Replace Gas Water Heater <br /> UMBI <br /> NO. TYPE OF FIXTUR OR ITEM MECHANICAL <br /> _____ WATER CLOSET N�• TYFE OF FIXTUR R ITEM <br /> —_____ BATHTUB ------ A/C-A/HANOLING UNITS <br /> LAVATORY(VIIqSH BASIN) ---- FORCED AIR SYSTEMS <br /> ____ SNOWER - HEAT PUMP <br /> —____ KI7CHEN SINK 6 DISPOSAL --- UNIT HEATERS <br /> ____ DISHWASHER --- CLOTHES DRYER <br /> --___ LAUNDRY TRAY - RANGE HOOD <br /> —�_ CLOTHES WASHER —�-- WATER HEqTER <br /> --_ URINAL -- METAL FIREpLqCFJSTOVE <br /> ___ DRINKING FOUNTAIN --- FIREPLACE INSERT <br /> __ FLOOR DRAIN --- 6A3 FIREPUICE <br /> ______ BACKFLOW PREVENTER �s �6E <br /> ___ SINK (SERVICE/BAR/MOP/ETC.) -- GAS PIPING <br /> —_ 07HER --- E7(HAUST FAN <br /> --- — � _ —�_ OTHER_��_,----- <br /> 1 HEREBY CERTIFV THqT I MAVE REAO AND EXAM�NED THIS APLICqTION AND KNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WMETHER SPECIFIED HEREI <br /> OR N07. THE GRANTING OF A PERMIT DOES N07 PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISqN OF ANY <br /> OTHER STATE OR LOCA�LAW REGULATING CONSTRUCTION OR THE PERFORM4NCE OF CONSTRUCTION.TMqTI AMAUTHORIZED <br /> BY THE OW NER OF 7HIS PROPERTY 70 PERFORM T}1E WORK FOR WHICH APPLICATION IS MADE AN0 1 COMPLV WITN THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.20D WAC. <br /> Signature of OwnedContractorlAuthorizad Agam ���:�� - - <br /> �g/�•,f� D�t� 09/18/2002 <br /> UI_MI <br />� <br />